| NPI | 1083900880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q7290) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014027825) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2016-08-31 |